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Contact Name
Rachmat Hidayat
Contact Email
dr.rachmat.hidayat@gmail.com
Phone
+6288225053819
Journal Mail Official
scientiapsychiatrica@gmail.com
Editorial Address
Dr. Moh Ali street
Location
Kota palembang,
Sumatera selatan
INDONESIA
Scientia Psychiatrica
Published by HM Publisher
ISSN : -     EISSN : 27159736     DOI : https://doi.org/10.37275/scipsy
Core Subject : Health, Science,
Scientia Psychiatrica covers the latest developments in various fields of psychiatric : biological psychiatry, neuropsychiatry, child psychiatry, psychiatry of community, psychotherapy, drugs-related mental illness, psychiatry of geriatric, psychosomatics medicine, psychology, cultural psychiatry, military psychiatry, forensic psychiatry, consultation liaison psychiatry and all medicine fields related psychiatry. Genetics, immunology, environmental health, toxicology, bioinformatics and biotechnology as well as multidisciplinary studies. The views of experts on current advances in nanotechnology and molecular/cell biology will be also considered for publication as long as they have a direct clinical impact of psychiatry.
Articles 5 Documents
Search results for , issue "Vol. 6 No. 2 (2025): Scientia Psychiatrica" : 5 Documents clear
A Vicious Cycle: Probable Psychological Distress and Maladaptive Cognition as Barriers to Remediation Among Indonesian Medical Students Failing National Licensure Gladys Putri; Mary-Jane Wood; Zahra Amir; Novalika Kurnia
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.193

Abstract

Introduction: Failure on high-stakes medical licensing examinations, such as the Indonesian Medical Doctor Competency Examination (UKMPPD), is a significant stressor. This study aims to delineate the current psychological profile of "repeat takers" (students who have failed at least once) to understand the psychological state associated with being in a cycle of academic failure. Methods: A multi-center, matched case-control study was conducted with 300 participants from five Indonesian medical faculties. The 'Case' group (n=150), recruited from remedial preparation courses, comprised students who had failed the UKMPPD at least once. The 'Control' group (n=150) consisted of peers from the same cohort who passed on their first attempt, matched for university, age, and gender. Psychological variables were measured cross-sectionally using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10), the Brief COPE inventory, and the Self-Reporting Questionnaire-20 (SRQ-20) to screen for probable psychological distress. Results: Cases demonstrated a dramatically higher rate of probable psychological distress, with 62.0% of cases screening positive (SRQ-20 score ≥ 8) compared to 18.0% of controls (p < 0.001). Cases also reported significantly lower current resilience (Mean ± SD: 28.5 ± 5.4 vs. 34.1 ± 4.8, p < 0.001) and significantly greater use of avoidant/maladaptive coping (p < 0.001), driven specifically by Self-Blame (p < 0.001) and Behavioral Disengagement (p < 0.001). Binary logistic regression revealed that factors strongly associated with repeat-taker status included probable psychological distress (OR 5.2, 95% CI 3.1-8.7), lower resilience (OR 0.85, 95% CI 0.79-0.91), and Self-Blame (OR 2.1, 95% CI 1.4-3.2). Conclusion: The psychological state following licensure failure is characterized by a triad of high psychological distress, eroded resilience, and a reliance on self-blaming cognitive distortions. This profile, most parsimoniously interpreted as a consequence of initial failure, constitutes a formidable state of crisis and a critical barrier to successful academic remediation.
The ‘Untreatable’ Fear: A Mixed-Methods Study on the Psychosocial Burden and Catastrophic Cognition in Patients Diagnosed with Multi-Drug Resistant (MDR) Neisseria gonorrhoeae Felicia Sari; Muhammad Yusuf; Mahmood Abbas; Nadia Khoirina; Wisnu Wardhana Putra; Abdullah Assagaf
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.195

Abstract

Introduction: The global emergence of multi-drug resistant (MDR) Neisseria gonorrhoeae threatens a return to the pre-antibiotic era. While the microbiological resistance mechanisms are well-documented, the psychopathological sequelae of being diagnosed with a potentially incurable sexually transmitted infection remain underexplored. This study aims to assess the psychosocial burden and catastrophic cognition in patients with MDR N. gonorrhoeae compared to those with drug-susceptible strains. Methods: We employed a sequential explanatory mixed-methods design. A sample of 200 patients (100 MDR vs. 100 Susceptible) was recruited based on an a priori power analysis to ensure sufficient sensitivity for detecting medium effect sizes. Participants completed the adapted Pain Catastrophizing Scale (PCS), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). Subsequently, 20 MDR-positive participants underwent in-depth semi-structured interviews analyzed via Interpretative Phenomenological Analysis (IPA). Results: The MDR group exhibited significantly higher mean scores for catastrophic thinking (PCS: 38.4 versus 14.2, p<0.001), anxiety (GAD-7: 16.5 versus 8.1, p<0.001), and depression (PHQ-9: 14.8 versus 6.5, p<0.001). The adapted PCS showed high internal consistency (Cronbach’s a= 0.94). Qualitative analysis revealed core themes of stigma ("The Leper of the Modern Age") and systemic fear ("The Ticking Time Bomb"). Conclusion: A diagnosis of MDR N. gonorrhoeae precipitates a unique and severe psychological syndrome characterized by high catastrophizing and psychosocial distress. Integrated psychiatric care and cognitive behavioral interventions are essential components of the clinical management for this demographic.
Beyond the Canopy Cover: A Comparative Mediation Analysis of Green Space Quality versus Quantity on Mental Well-being and Social Cohesion in High-Density Low-Income Neighborhoods Jasmila Tanjung; Maya Enderson; Taufiq Indera Jayadi; Eva Naritawati; Nurul Hanifah; Maximillian Wilson
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i3.197

Abstract

Introduction: Rapid urbanization in the Global South has precipitated a mental health crisis, particularly in high-density, low-income neighborhoods where environmental stressors are endemic. While the association between urban green space (UGS) and mental well-being is well-documented, a critical knowledge gap remains regarding the differential impacts of green space quantity (availability) versus quality (usability/biodiversity) and the mediating role of social cohesion. Methods: This cross-sectional study employed a comparative mediation analysis involving 1,240 residents across 15 high-density districts in Jakarta, Indonesia. UGS quantity was measured using satellite-derived Normalized Difference Vegetation Index (NDVI), while quality was assessed using the Quality of Public Open Space Tool (POST). Mental well-being was evaluated using the WHO-5 Index, and physiological stress was quantified via salivary cortisol. Structural Equation Modeling (SEM) was utilized to test the mediating pathways of social cohesion and physical activity. Results: UGS quality demonstrated a significantly stronger direct effect on mental well-being (β = 0.42, p < 0.001) compared to UGS quantity (β = 0.15, p < 0.05). Social cohesion fully mediated the relationship between UGS quality and well-being (Indirect Effect = 0.18, 95% CI [0.12, 0.25]), whereas salivary cortisol levels were inversely associated primarily with UGS quality (β = -0.33, p < 0.001). Conclusion: In resource-constrained urban environments, the quality of green space—defined by safety, amenities, and aesthetics—is a more critical determinant of public mental health than mere vegetative cover.
Buffering Effects of Extended Family: A Moderated Mediation Analysis of Maternal Depression, Parenting Stress, and Early Childhood Development in West Java, Indonesia Habiburrahman Said; Novalika Kurnia; Aline Hafidzah; Vania Delma; Fachrudin Sani
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.201

Abstract

Introduction: In low- and middle-income countries (LMICs), maternal mental health significantly impacts early childhood development (ECD). West Java, Indonesia, presents a unique cultural context where extended family involvement is ubiquitous. This study aims to elucidate the mechanism linking maternal depressive symptoms to early childhood developmental delays, focusing on the mediating role of parenting stress and the moderating role of social support from extended family. Methods: A cross-sectional analytical study was conducted in five regencies of West Java (N = 842 mother-child dyads). Children were aged 12–36 months. We utilized the Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms, the Parenting Stress Index-Short Form (PSI-SF) for stress, the Multidimensional Scale of Perceived Social Support (MSPSS) adapted for extended family, and the Ages and Stages Questionnaire (ASQ-3) for developmental monitoring. A moderated mediation model (Hayes Model 7) was tested using Structural Equation Modeling (SEM) with 5,000 bootstrap samples. Results: High maternal depressive symptoms were significantly associated with lower ECD scores (β = -0.42, p < 0.001). Parenting stress partially mediated this relationship (Indirect Effect = -0.18, 95% CI [-0.24, -0.13]). Crucially, extended family support moderated the path between depression and parenting stress (β = -0.15, p < 0.01). Specifically, the impact of depression on parenting stress was significantly dampened in households with high extended family engagement compared to those with low support. Conclusion: Parenting stress is a critical pathway through which maternal depression compromises child development. However, the collectivist family structure in West Java serves as a protective buffer. Interventions should target not only the mother but also mobilize the extended family network as a resource for 'kalyana mitra' (supportive friends/family).
The Screen as a Shield: Internet Addiction as a Maladaptive Defense Against Childhood Emotional Neglect in a Left-Behind Adult Made Citra Riesti Wulan; Wayan Wiradana
Scientia Psychiatrica Vol. 6 No. 2 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.202

Abstract

Introduction: Internet addiction (IA) is frequently conceptualized as an impulse control disorder driven by dopaminergic dysregulation. However, in the context of left-behind children—those raised by grandparents due to parental migration—IA may function as a complex psychodynamic defense mechanism. This study aims to elucidate the role of the smartphone as a digital shield against the resurfacing trauma of Childhood Emotional Neglect (CEN) and attachment deficits. Case presentation: We report the case of a 23-year-old female in Eastern Bali presenting with acute dysphoria, elective mutism, and total insomnia following the confiscation of her smartphone. Assessment included the Internet Addiction Test (IAT), clinical interviews utilizing written communication during the mute phase, and family system analysis. The patient scored 58 on the baseline IAT, indicating moderate addiction. Clinical inquiry revealed a history of split-parenting, where the patient was reared by emotionally distant grandparents. The smartphone served a specific function of displacement, seeking safety in online relationships, and dissociation, used to numb loneliness. The device confiscation triggered a traumatic re-enactment of early childhood abandonment, resulting in physiological hyperarousal incompatible with the moderate IAT score. Treatment involved Fluoxetine (20mg), Clobazam (10mg), and psychodynamic psychotherapy focusing on attachment repair. At the 4-week follow-up, the IAT score decreased to 32, and verbal communication was fully restored. Conclusion: IA in young adults with developmental trauma functions as a maladaptive defense mechanism (The Digital Shield). Clinicians must address the underlying attachment wound rather than focusing solely on digital detoxification to achieve sustainable remission.

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